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Hematuria is the presence of blood in urine, which can indicate a serious condition if symptoms persist. Treatment depends on the underlying cause and may include antibiotics or surgery. Diagnosis involves physical exams and diagnostic tests such as urinalysis and imaging. Treatment focuses on relieving the secondary condition causing the symptoms.
Hematuria syndrome is a condition in which there is blood in the urine. Normally considered a benign and temporary condition, hematuria can also indicate a more serious condition if there are persistent symptoms that get worse. Treatment for hematuria syndrome depends on the underlying cause of your symptoms and may include the use of antibiotics and, in some cases, surgery if you have a chronic disease.
In most cases, the presence of a hematuria is due to infection or injury. Some cases of hematuria occur due to strenuous activity or regular use of medications that affect the blood’s ability to clot. Regardless of the cause, with a hematuria, blood enters the urine as it passes through the urinary tract to be passed out as waste. An individual may develop hematuria and not know something is wrong as the blood may be invisible to the naked eye. In other cases, the presence of blood can cause obvious discoloration of the urine, requiring treatment and a visit to the doctor.
A diagnosis of hematuria syndrome can be made after a physical exam and a battery of diagnostic tests. Symptomatic individuals may have a urinalysis to evaluate the contents of their urine and to check for infection or disease. Additionally, imaging tests, including an ultrasound, may be used to evaluate the condition and function of the urinary tract, especially the bladder and kidneys.
Those who develop microscopic hematuria generally remain asymptomatic, meaning they experience no discernible symptoms. Individuals who become symptomatic will usually notice that their urine is discolored, but feel no discomfort. It is generally only in the presence of a chronic condition that additional symptoms may develop, as with Alport syndrome. Other conditions, such as low back pain-hematuria syndrome, can occur with abdominal and pelvic discomfort.
Treatment for hematuria syndrome usually focuses on relieving the secondary condition causing the symptoms. If you have an infection, such as a urinary tract infection (UTI), an antibiotic is usually given for several days, during which time the urine discoloration will completely subside. More complex conditions, such as kidney stones, may require surgery. The chronic, inherited conditions that trigger the development of hematuria syndrome often require more extensive therapies which may include the use of medications, blood transfusions or organ transplants.
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